Postprandial hypoglycemia as a complication of bariatric and metabolic surgery: a comprehensive review of literature.

IF 1.6 4区医学 Q2 SURGERY Frontiers in Surgery Pub Date : 2024-11-01 eCollection Date: 2024-01-01 DOI:10.3389/fsurg.2024.1449012

Mehdi Karimi, Omid Kohandel Gargari

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Abstract

Postprandial hypoglycemia (PPH) is a challenging and significant complication that can occur following bariatric and metabolic surgery. Symptoms of PPH are typical of hypoglycemia, such as sweating, weakness, disorientation, palpitation, etc. The complex nature of PPH is essential to achieve accurate diagnosis and effective management. This review aims to give extensive coverage of the intricate nature of PPH common with bariatric and metabolic surgery, outlining its pathogenesis, risk factors, clinical presentation, diagnostic strategies, and treatment options. The study explores various clinical forms and pathogenic mechanisms behind PPH while discussing diagnostic tools like continuous glucose monitoring or mixed meal tolerance tests. Furthermore, it considers possible interventions, including dietary changes, pharmaceutical therapies, and surgeries, to relieve symptoms and improve patient's quality of life. It aims to comprehensively understand how healthcare professionals can effectively manage this disorder for patients undergoing bariatric and metabolic surgery.

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作为减肥和代谢手术并发症的餐后低血糖：文献综述。

餐后低血糖症（PPH）是减肥和代谢手术后可能出现的一种具有挑战性的严重并发症。PPH 的症状是典型的低血糖，如出汗、虚弱、迷失方向、心悸等。PPH 具有复杂性，因此准确诊断和有效治疗至关重要。本综述旨在广泛介绍减肥和代谢手术常见 PPH 的复杂性，概述其发病机制、风险因素、临床表现、诊断策略和治疗方案。研究探讨了 PPH 背后的各种临床形式和致病机制，同时讨论了连续葡萄糖监测或混合餐耐受试验等诊断工具。此外，研究还考虑了可能的干预措施，包括改变饮食习惯、药物疗法和手术，以缓解症状并改善患者的生活质量。该书旨在全面了解医护人员如何为接受减肥和代谢手术的患者有效控制这种疾病。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Frontiers in Surgery Medicine-Surgery

CiteScore

1.90

自引率

11.10%

发文量

1872

审稿时长

12 weeks

期刊介绍： Evidence of surgical interventions go back to prehistoric times. Since then, the field of surgery has developed into a complex array of specialties and procedures, particularly with the advent of microsurgery, lasers and minimally invasive techniques. The advanced skills now required from surgeons has led to ever increasing specialization, though these still share important fundamental principles. Frontiers in Surgery is the umbrella journal representing the publication interests of all surgical specialties. It is divided into several “Specialty Sections” listed below. All these sections have their own Specialty Chief Editor, Editorial Board and homepage, but all articles carry the citation Frontiers in Surgery. Frontiers in Surgery calls upon medical professionals and scientists from all surgical specialties to publish their experimental and clinical studies in this journal. By assembling all surgical specialties, which nonetheless retain their independence, under the common umbrella of Frontiers in Surgery, a powerful publication venue is created. Since there is often overlap and common ground between the different surgical specialties, assembly of all surgical disciplines into a single journal will foster a collaborative dialogue amongst the surgical community. This means that publications, which are also of interest to other surgical specialties, will reach a wider audience and have greater impact. The aim of this multidisciplinary journal is to create a discussion and knowledge platform of advances and research findings in surgical practice today to continuously improve clinical management of patients and foster innovation in this field.